WILLOW GROVE MENTAL HEALTH INC. NPI 1023502549

NPI Information

NPI: 1023502549
Provider Name: WILLOW GROVE MENTAL HEALTH, INC.

Former Legal Business Name: ELIZABETH WAGGONER PMHNP-BC LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
14211 E 4TH AVE
AURORA, CO
ZIP 80011
Phone: (720) 262-9100
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WILLOW GROVE MENTAL HEALTH, INC. is a psychiatric/mental health nurse practitioner in Aurora, CO. WILLOW GROVE MENTAL HEALTH, INC. NPI is 1023502549. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Elizabeth Waggoner Pmhnp-bc Llc.

The provider's business location address is:

14211 E 4TH AVE
AURORA, CO
ZIP 80011-736
Phone: (720) 262-9100
Fax: (720) 262-9101

The provider's authorized official is Mary Elizabeth Waggoner .
The authorized official title is President and has the following contact phone number (720) 262-9100.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 10/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	09923992	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0770900	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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